Abstract:
OBJECTIVE:To determine if a difference exists in the plantar soft tissue of patients with diabetes mellitus (DM) and peripheral neuropathy (PN) compared with age-matched controls. DESIGN:Case-control study with a parallel 3-element 1-dimensional viscoelastic model developed to characterize indentation data. SETTING:Data collection performed in an academic physical therapy laboratory. PARTICIPANTS:Forty subjects were recruited into 2 groups (20 subjects with DM, PN, and history of plantar ulcers; 20 control subjects), matched for age (DM: 55.22+/-9.39 y; control: 55.91+/-10.97 y), gender (DM: 14 men, 6 women; control: 14 men, 6 women), and body mass index (DM: 32.96+/-8.39 kg/m(2); control: 32.58+/-7.69 kg/m(2)). INTERVENTIONS:The plantar soft tissue stiffness was measured over the first, third, and fifth metatarsals, and heel of each subject using an indentor system that accurately measures force/displacement (F/D) data. A parallel 3-element viscoelastic mechanical model was then used to transform the F/D data into values that were used to make stiffness assessments. MAIN OUTCOME MEASURE:The element coefficients of our model indicated the stiffness of the plantar tissue. RESULTS:The plantar tissue of the subjects with DM over the metatarsal heads was stiffer than the control population as indicated by one of the spring constants in the parallel 3-element model (first: 1.13+/-0.55 N/mm vs.72+/-.32 N/mm; third:.96+/-.32 N/mm vs.79+/-.17 N/mm; fifth:.90+/-.31 N/mm vs.69+/-.28 N/mm; P<.05). CONCLUSIONS:The plantar tissue of subjects with DM, PN, and a history of ulcers was stiffer than control subjects. However, additional research is needed to determine the relationship among increased soft tissue stiffness, plantar pressures, and skin breakdown.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Klaesner JW,Hastings MK,Zou D,Lewis C,Mueller MJdoi
10.1053/apmr.2002.35661subject
Has Abstractpub_date
2002-12-01 00:00:00pages
1796-801issue
12eissn
0003-9993issn
1532-821Xpii
S0003-9993(02)00606-8journal_volume
83pub_type
杂志文章abstract::Rehabilitation clinicians strive to provide cost-effective, patient-centered care that optimizes outcomes. A barrier to this ideal is the lack of a universal system for describing, or specifying, rehabilitation interventions. Current methods of description vary across disciplines and settings, creating barriers to col...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.09.110
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice. DESIGN:Randomized trial. SETTING:Hospital outpatient physiotherapy clinics. PARTICIPANTS:Physiotherapists (N=24) and patients (N=24) with chronic low back pain. INTERVENTIONS:Two hosp...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
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abstract:OBJECTIVE:To quantify changes of elbow spasticity over time after botulinum toxin type A (BTX-A) injection in the upper extremity of stroke patients. DESIGN:Before-after trial in which the therapeutic effects were followed up at 2, 6, and 9 weeks after the BTX-A injection (Botox). SETTING:Hospital. PARTICIPANTS:Chro...
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2007.08.166
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.05.005
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abstract::This article introduces the Archives supplement presenting a conceptual framework for the creation of a rehabilitation treatment taxonomy (RTT). It describes the key theoretical and empirical articles and their role, and the commentaries that were solicited. More importantly, based on feedback received to date, it ske...
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2013.09.023
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abstract:OBJECTIVE:To evaluate the clinical relevance of cardiac arrhythmias during rehabilitation after coronary artery bypass graft (CABG) surgery. DESIGN:Survey of consecutive patients admitted to an inpatient cardiac rehabilitation center. SETTING:A rehabilitation center acting as a reference for cardiology clinics lackin...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2000.5587
更新日期:2000-07-01 00:00:00
abstract::Persons experiencing recent onset of stroke show wide variation in their adjustment process. This study evaluates how much these individual differences are a function of interpersonal needs for social contact after the rehabilitation process. Subjective needs for social relations are measured and compared with adjustm...
journal_title:Archives of physical medicine and rehabilitation
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abstract:OBJECTIVE:To synthesize literature about the effect of early physical therapy (PT) for acute low back pain (LBP) on subsequent health services utilization (HSU), compared to delayed PT or usual care. DATA SOURCES:Electronic databases (MEDLINE, CINAHL, Embase) were searched from their inception to May 2018. STUDY SELE...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.11.025
更新日期:2019-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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pub_type: 杂志文章
doi:
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doi:10.1016/j.apmr.2012.04.038
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
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pub_type: 杂志文章,评审
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.05.029
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-10-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-04-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1977-01-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2016.01.009
更新日期:2016-05-01 00:00:00
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更新日期:2014-09-01 00:00:00